Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09661 | Date 29/07/2025 |
| Token No | SM/25-26/5510 29/07/2025 | Serial | 008 |
| Patient Name | Mrs. PUSHPA JHA | Contact No | 6289068358 |
| Address | B-3/303 SUBHASNAGAR HSG COMPL SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||